Nasco Healthcare C.H.A.R.L.I.E User manual

C.H.A.R.L.I.E
Neonatal Resuscitation
Simulator
LF01420 with ECG Simulator
LF01421 without ECG Simulator
INSTRUCTION MANUAL
HEALTHCARE
C.H.A.R.L.I.E
Neonatal Resuscitation Simulator
LF01420U with ECG Simulator
LF01421U without ECG Simulator
INSTRUCTION MANUAL
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About the Simulator
Meeting your neonatal resuscitation program course curriculum with
C.H.A.R.L.I.E., the Neonatal Resuscitation Simulator. The fully functional,
manual simulator measures 191/2” (49.53 cm) from crown to heel and
weighs approximately 81/2 lbs. (3.86 kg).
Practice all of the essentials of neonatal resuscitation with this simple
simulator as well as any birthing scenario.
Features
• Airway, Breathing, Intubation, and Ventilation
• Birth Anomalies
• Chest Tube Placement
• CPR
• Defibrillation
• ECG Simulation (LF03670AU included with LF01420U)
• GI Tube Placement
• Interchangeable Genitalia
• I/O Infusion Left Leg
• Right IV Hand and Foot
• Catheterizing Male and Female Genitalia
• 7 Manual Palpable Pulse Points
• Patent Umbilicus with Venous and Arterial Access
• PICC Site in Left Arm
Caution
The infant simulator is constructed with electronic components.
Extreme care should be used when utilizing fluid capable features of
the simulator, so as to not damage electronics or cause harm to users.
2

List of Components
A. Full-Term Infant Simulator
B. 2 Airways (1 normal, 1 advanced)
C. Baby Powder
D. Blood, Pint Bottle with Blood Powder (shown mixed)
E. Carry Bag
F. Defibrillation Chest Insert (shown installed)
G. Intraosseous Skin, Left Leg, 2 ( 1 shown installed)
H. Intraosseous Bones, 12
I. Fluid Supply Bag, 2
J. IV Hand Skin, 2 (1 shown installed)
K. Vein System for IV Hand (shown installed)
L. IV Foot Skin, 2 (1 shown installed)
M. Vein System for IV Foot (shown installed)
N. Male Genitalia
O. Female Genitalia
P. Myelomeningocele Birth Defect
Q. Omphalocele Birth Defect
R. Umbilicus (shown installed)
S. 3 cc Syringe with Needle
T. 25-gauge Infusion Butterfly
U. 24 ml Syringe
V. 1/2 oz. Lubricant
W. Defibrillation Adapters (set of 4)
X. ECG Simulator (with LF01420U only)
Y. Latex Piece (not pictured)
3
LIST OF COMPONENTS
A. Full-Term Infant Simulator
B. 2 Airways (1 normal, 1 advanced)
C. Baby Powder
D. Blood, Pint Bottle with Blood Powder (shown
mixed)
E. Carry Bag
F. Defibrillation Chest Insert (shown installed)
G. Intraosseous Skin, Left Leg, 2 ( 1 shown installed)
H. Intraosseous Bones, 12
I. Fluid Supply Bag, 2
J. IV Hand Skin, 2 (1 shown installed)
K. Vein System for IV Hand (shown installed)
L. IV Foot Skin, 2 (1 shown installed)
M. Vein System for IV Foot (shown installed)
N. Male Genitalia
O. Female Genitalia
P. Myelomeningocele Birth Defect
Q. Omphalocele Birth Defect
R. Umbilicus (shown installed)
S. 3 cc Syringe with Needle
T. 25-gauge Infusion Butterfly
U. 24 ml Syringe
V. ½ oz. Lubricant
W. Defibrillation Adapters (set of 4)
X. ECG Simulator (with LF01420U only)
Y. Latex Piece (not pictured)
A.
B.
I.
C. D.
E.
F.
G.
H.
J.
K.
L.
P.
M.
N.
O.
Q.
R.
S.
T.
U.
V.
W.
4
X.
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Set Up
A. Installing the Airway
In addition to the normal airway, C.H.A.R.L.I.E. also includes a difficult
airway featuring edema of the tongue and throat structures.
1. Thoroughly lubricate all outside surfaces of the airway and around
the mouth of the simulator. (See figure 1.)
2. Gently insert your lubricated finger into the airway, over the tongue
and epiglottis. (See figure 2.)
3. Push the tube end of the airway into the mouth of the simulator.
Slide the airway down into the head, making sure to free the lips as
the airway slides into place. (See figure 3.)
4. Gently pull up the defibrillation chest insert. Using caution to not
detach the electronics, slide the tube from the airway into the hole
at the top of the chest insert. (See figure 4.)
5. Fit the chest insert back into the chest cavity. Ensure electronics are
still attached.
4
SETUP
Caution
The infant simulator is constructed with electronic components. Extreme care should be used when utilizing fluid capable
features of the simulator, so as to not damage electronics or cause harm to users.
A. Installing the Airway
In addition to the normal airway, C.H.A.R.L.I.E. also includes a difficult airway featuring edema of the tongue and throat
structures.
1. Thoroughly lubricate all outside surfaces of the airway and around the mouth of the simulator. (See figure 1.)
2. Gently insert your lubricated finger into the airway, over the tongue and epiglottis. (See figure 2.)
3. Push the tube end of the airway into the mouth of the simulator. Slide the airway down into the head, making sure to
free the lips as the airway slides into place. (See figure 3.)
4. Gently pull up the defibrillation chest insert. Using caution to not detach the electronics, slide the tube from the airway
into the hole at the top of the chest insert. (See figure 4.)
5. Fit the chest insert back into the chest cavity. Ensure electronics are still attached.
5
Figure 1 Figure 2
Figure 3 Figure 4
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Set Up
5
B. Defibrillation Chest Insert, ECG Simulation
Alternate Chest Inserts, LF01401 Non-Defibrillation Bilateral Chest Insert
and LF01402 Unilateral Chest Insert, are available for purchase.
To Install the Defibrillation Chest Insert and Connect Interactive ECG
Simulator:
1. Remove the wire from under the white plate in the base of the chest
cavity. (See figure 5.)
Note: The white plate is adhered to the body of the simulator.
Removal of the white plate should not be attempted.
2. Connect the wire from the defibrillation chest plate to the wire
extending from the base of the chest cavity. (See figure 6.)
3. Fit the chest insert back into the chest cavity.
4. Use the round defibrillation adapter posts for manual defibrillation.
5. Screw the round defibrillation adapter posts into the defibrillation
chest insert. (See figures 7 and 8.)
B. Defibrillation Chest Insert, ECG Simulation
Alternate Chest Inserts, LF01401U Non-Defibrillation Bilateral Chest Insert and LF01402U Unilateral Chest Insert, are
available for purchase.
To Install the Defibrillation Chest Insert and Connect Interactive ECG Simulator:
1. Remove the wire from under the white plate in the base of the chest cavity. (See figure 5.)
Note: The white plate is adhered to the body of the simulator. Removal of the white plate should not be attempted.
2. Connect the wire from the defibrillation chest plate to the wire extending from the base of the chest cavity.
(See figure 6.)
3. Fit the chest insert back into the chest cavity.
4. Use the round defibrillation adapter posts for manual defibrillation.
5. Screw the round defibrillation adapter posts into the defibrillation chest insert. (See figures 7 and 8.)
Figure 5
Figure 7 Figure 8
Figure 6
6
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Set Up
6. Screw the round defibrillation adapter post into the defibrillation
chest post site on the posterior of the simulator. (See figure 9.)
7. Included with the simulator is a set of defibrillation adapters 101-
054U, for use with training cables (sold separately). See the section
for supplies and replacement parts for part number information.
8. Attach defibrillation cables coming from the left side of the
manikin labeled sternum and apex to the LF03670A Interactive ECG
Simulator. (See figure 10.)
9. Connect the labeled cords to the appropriate labeled holes in the top
of the LF03670A Interactive ECG Simulator Sternum and Apex.
10.To view the waveforms produced by the Interactive ECG Simulator,
connect the 4 colored limb leads coming from the left side of
the infant simulator to the same colored snaps on the side of the
Interactive ECG Simulator. (See figure 11.)
11.Connect the limb leads from your defibrillator/monitor to the
appropriate anterior sites on the infant simulator. (See figure 12;
defibrillator shown not included.)
6
6. Screw the round defibrillation adapter post into the defibrillation chest post site on the posterior of the simulator.
(See figure 9.)
7. Included with the simulator is a set of defibrillation adapters 101-054U, for use with training cables (sold separately).
See the section for supplies and replacement parts for part number information.
8. Attach defibrillation cables coming from the left side of the manikin labeled sternum and apex to the LF03670AU
Interactive ECG Simulator. (See figure 10.)
9. Connect the labeled cords to the appropriate labeled holes in the top of the LF03670AU Interactive ECG Simulator
Sternum and Apex.
10. To view the waveforms produced by the Interactive ECG Simulator, connect the 4 colored limb leads coming from
the left side of the infant simulator to the same colored snaps on the side of the Interactive ECG Simulator.
(See figure 11.)
11. Connect the limb leads from your defibrillator/monitor to the appropriate anterior sites on the infant simulator.
(See figure 12; defibrillator shown not included.)
7
Figure 10
Figure 12
Figure 11
Figure 9
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Set Up
7
C. IV Hand and Foot
Both the right hand and foot are equipped with functional IV access
for infusion practice.
Caution
The infant simulator is constructed with electronic components
Extreme care should be used when utilizing fluid capable features of
the simulator, so as to not damage electronics or cause harm to users.
1. Dip the non-fitting end of the vein tubing into the provided
lubricant. (See figure 13.)
2. Feed the tubing through the lateral hole just above the hand.
3. Form a loop over the vein channel. The loop should be approximately
in the middle of the vein tubing section.
4. From the medial side of the vein channel, feed the tubing through
the remaining hole. (See figure 14.)
5. Adjust the tubing so that it lies securely in the vein channel.
6. Attach the Luer fitting to the open end. (See figure 15.)
7. Generously powder the inside of the hand skin. (See figure 16.)
C. IV Hand and Foot
Both the right hand and foot are equipped with functional IV access for infusion practice.
Caution
The infant simulator is constructed with electronic components. Extreme care should be used when utilizing fluid
capable features of the simulator, so as to not damage electronics or cause harm to users.
1. Dip the non-fitting end of the vein tubing into the provided lubricant. (See figure 13.)
2. Feed the tubing through the lateral hole just above the hand.
3. Form a loop over the vein channel. The loop should be approximately in the middle of the vein tubing section.
4. From the medial side of the vein channel, feed the tubing through the remaining hole. (See figure 14.)
5. Adjust the tubing so that it lies securely in the vein channel.
6. Attach the Luer fitting to the open end. (See figure 15.)
7. Generously powder the inside of the hand skin. (See figure 16.)
Figure 14
Figure 16Figure 15
Figure 13
8
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Set Up
8. Carefully pull the skin over the hand, taking care not to dislodge the
vein tubing. (See figure 17.)
9. Follow the same procedure for the foot. (See figure 18.)
10.Connect the hand tubing to the foot tubing as shown.
(See figure 19.)
11.Connect the free ends of the hand and foot tubing to the fluid
supply bags as shown. (See figure 20.)
8
9
8. Carefully pull the skin over the hand, taking care
not to dislodge the vein tubing. (See figure 17.)
9. Follow the same procedure for the foot.
(See figure 18.)
10. Connect the hand tubing to the foot tubing as
shown. (See figure 19.)
11. Connect the free ends of the hand and foot tubing
to the fluid supply bags as shown. (See figure 20.)
D. I/O Leg
The left leg incorporates an intraosseous infusion feature.
Palpable landmarks include the patella and the tibial
tuberosity. Any commercially available intraosseous device
may be used to place the needle. The bone is prefilled with
simulated blood and will provide flashback when the needle
is properly inserted.
1. To replace the bone, simply peel off the outer skin. (See figure 21.)
2. Flex the foot downward, and pop the bone out.
Figure 17
Figure 18
Figure 20
Figure 21
Figure 19
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9
8. Carefully pull the skin over the hand, taking care
not to dislodge the vein tubing. (See figure 17.)
9. Follow the same procedure for the foot.
(See figure 18.)
10. Connect the hand tubing to the foot tubing as
shown. (See figure 19.)
11. Connect the free ends of the hand and foot tubing
to the fluid supply bags as shown. (See figure 20.)
D. I/O Leg
The left leg incorporates an intraosseous infusion feature.
Palpable landmarks include the patella and the tibial
tuberosity. Any commercially available intraosseous device
may be used to place the needle. The bone is prefilled with
simulated blood and will provide flashback when the needle
is properly inserted.
1. To replace the bone, simply peel off the outer skin. (See figure 21.)
2. Flex the foot downward, and pop the bone out.
Figure 17
Figure 18
Figure 20
Figure 21
Figure 19
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Set Up
9
9
8. Carefully pull the skin over the hand, taking care
not to dislodge the vein tubing. (See figure 17.)
9. Follow the same procedure for the foot.
(See figure 18.)
10. Connect the hand tubing to the foot tubing as
shown. (See figure 19.)
11. Connect the free ends of the hand and foot tubing
to the fluid supply bags as shown. (See figure 20.)
D. I/O Leg
The left leg incorporates an intraosseous infusion feature.
Palpable landmarks include the patella and the tibial
tuberosity. Any commercially available intraosseous device
may be used to place the needle. The bone is prefilled with
simulated blood and will provide flashback when the needle
is properly inserted.
1. To replace the bone, simply peel off the outer skin. (See figure 21.)
2. Flex the foot downward, and pop the bone out.
Figure 17
Figure 18
Figure 20
Figure 21
Figure 19
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D. I/O Leg
The left leg incorporates an intraosseous infusion feature. Palpable
landmarks include the patella and the tibial tuberosity. Any
commercially available intraosseous device may be used to place the
needle. The bone is prefilled with simulated blood and will provide
flashback when the needle is properly inserted.
1. To replace the bone, simply peel off the outer skin. (See figure 21.)
2. Flex the foot downward, and pop the bone out.

Set Up
3. When installing the new bone, make sure it is correctly positioned in
the leg cavity. (See figures 22 and 23.)
4. Replace the skin. A light dusting of baby powder on the inside of the
skin will help it to slide on easily. (See figure 24.)
10
3. When installing the new bone, make sure it is correctly positioned in the leg cavity. (See figures 22 and 23.)
4. Replace the skin. A light dusting of baby powder on the inside of the skin will help it to slide on easily. (See figure 24.)
E. Patent Umbilicus
The umbilical stump features a patent umbilical vein and one patent umbilical artery. Up to 5 ml of fluid or simulated blood
may be infused into, or withdrawn from, the umbilical reservoir through either vessel.
1. To fill the reservoir within the abdomen, gently pull the umbilical stump free from the abdomen of the infant simulator,
being cautious to not disconnect the pulse system.
2. Using the supplied 24 ml syringe, depress simulated blood into the abdomen of the infant simulator. (See figure 25.)
3. Replace the umbilical stump, being careful to not kink the tubing for the pulse system.
4. If the pulse system tubing should become disconnected, simply reconnect the stump at the outlet of the pulse system,
located just below the opening of the reservoir before replacing the stump.
5. To empty the reservoir, gently detach the stump from the body and remove fluids with a syringe or paper towel.
The reservoir may be left open to air dry.
6. Allow all components to completely air dry after each use before re-assembly or storage.
10
Figure 22 Figure 23
Figure 25Figure 24
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E. Patent Umbilicus
The umbilical stump features a patent umbilical vein and one patent
umbilical artery. Up to 5 ml of fluid or simulated blood may be infused
into, or withdrawn from, the umbilical reservoir through either vessel.
1. To fill the reservoir within the abdomen, gently pull the umbilical
stump free from the abdomen of the infant simulator,being cautious
to not disconnect the pulse system.
2. Using the supplied 24 ml syringe, depress simulated blood into the
abdomen of the infant simulator. (See figure 25.)
3. Replace the umbilical stump, being careful to not kink the tubing for
the pulse system.

Set Up
11
4. If the pulse system tubing should become disconnected, simply
reconnect the stump at the outlet of the pulse system, located just
below the opening of the reservoir before replacing the stump.
5. To empty the reservoir, gently detach the stump from the body and
remove fluids with a syringe or paper towel. The reservoir may be left
open to air dry.
6. Allow all components to completely air dry after each use before
re-assembly or storage.
F. GI
The left nostril will accept an 8 FR NG tube that will pass into a small
tube embedded in the chest cavity of the infant simulator.
Note: This is for tube placement only. No fluids should be infiltrated into
the simulated stomach cavity.
G. Pulses
C.H.A.R.L.I.E. features seven functioning pulse sites: right and left
femoral, right and left brachial (See figure 26), right and left carotid
(See figure 27), and the umbilical stump. (See figure 28)
H. Genitals
The male and female genital inserts may be used interchangeably. The genital inserts are for catheter placement practice
and not designed to deliver fluids. The anal opening may be used for the administration of rectal medications in supposi-
tory form. Do not attempt to infuse fluids.
To interchange and install genitals:
1. Select either male of female genitals.
2. Apply baby powder to the back side of the genital insert.
3. Slide the insert into place in the infant simulator. (See figures 29 and 30.)
11
Figure 26 Figure 27
Figure 29
Figure 30
Figure 28
F. GI
The left nostril will accept an 8 FR NG tube that will pass
into a small tube embedded in the chest cavity of the infant
simulator. Note: This is for tube placement only. No fluids
should be infiltrated into the simulated stomach cavity.
G. Pulses
C.H.A.R.L.I.E. features seven functioning pulse sites: right
and left femoral, right and left brachial, right and left
carotid, and the umbilical stump. (See figures 26, 27,
and 28.)
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Set Up
12
H. Genitals
The male and female genital inserts may be used interchangeably. The
genital inserts are for catheter placement practice and not designed to
deliver fluids. The anal opening may be used for the administration of
rectal medications in suppository form.
Do not attempt to infuse fluids.
To interchange and install genitals:
1. Select either male of female genitals.
2. Apply baby powder to the back side of the genital insert.
3. Slide the insert into place in the infant simulator.
(See figures 29 and 30.)
H. Genitals
The male and female genital inserts may be used interchangeably. The genital inserts are for catheter placement practice
and not designed to deliver fluids. The anal opening may be used for the administration of rectal medications in supposi-
tory form. Do not attempt to infuse fluids.
To interchange and install genitals:
1. Select either male of female genitals.
2. Apply baby powder to the back side of the genital insert.
3. Slide the insert into place in the infant simulator. (See figures 29 and 30.)
11
Figure 26 Figure 27
Figure 29
Figure 30
Figure 28
F. GI
The left nostril will accept an 8 FR NG tube that will pass
into a small tube embedded in the chest cavity of the infant
simulator. Note: This is for tube placement only. No fluids
should be infiltrated into the simulated stomach cavity.
G. Pulses
C.H.A.R.L.I.E. features seven functioning pulse sites: right
and left femoral, right and left brachial, right and left
carotid, and the umbilical stump. (See figures 26, 27,
and 28.)
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H. Genitals
The male and female genital inserts may be used interchangeably. The genital inserts are for catheter placement practice
and not designed to deliver fluids. The anal opening may be used for the administration of rectal medications in supposi-
tory form. Do not attempt to infuse fluids.
To interchange and install genitals:
1. Select either male of female genitals.
2. Apply baby powder to the back side of the genital insert.
3. Slide the insert into place in the infant simulator. (See figures 29 and 30.)
11
Figure 26 Figure 27
Figure 29
Figure 30
Figure 28
F. GI
The left nostril will accept an 8 FR NG tube that will pass
into a small tube embedded in the chest cavity of the infant
simulator. Note: This is for tube placement only. No fluids
should be infiltrated into the simulated stomach cavity.
G. Pulses
C.H.A.R.L.I.E. features seven functioning pulse sites: right
and left femoral, right and left brachial, right and left
carotid, and the umbilical stump. (See figures 26, 27,
and 28.)
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I. Defects
Two different birth defects are included with the infant simulator. The
omphalocele birth defect fits over the patent umbilicus. (See figure
31.) The neural tube defect fits into the hole on the back of the infant
simulator. (See figure 32.)
I. Defects
Two different birth defects are included with the infant simulator. The omphalocele birth defect fits over the patent umbili-
cus. (See figure 31.) The neural tube defect fits into the hole on the back of the infant simulator. (See figure 32.)
GENERAL INSTRUCTIONS FOR USE
Caution
The simulator is constructed with electronic components. Extreme care should be used when utilizing fluid capable features
of the simulator, so as to not damage electronics or cause harm to users.
A. NG Tube
The patent left nostril may be used for practice in NG tube insertion and care. Nasco recommends a 5 FR NG tube. An
embedded tube in the simulator simulates a small stomach reservoir. The reservoir is not intended to accept fluid.
1. Ensure all appliances used for nasogastric tube insertion are generously lubricated with the supplied lubricant.
2. Follow general practice guidelines to place the tube.
3. Adhesive tape will not adhere to the material of the face. Use an alternative method to secure the tube.
4. Clean any excess lubricant following each use.
5. Allow simulator to air dry completely before re-assembly or storage.
B. Intubation
Nasco recommends a standard 3.5 mm ET tube, #1 LMA, and a #1 Miller blade.
1. Always thoroughly lubricate all equipment before use with the supplied lubricant.
2. Adhesive tape will not adhere to the material of the face. Use an alternative method to secure the ET tube.
3. The infant simulator may also be ventilated with a bag valve mask.
4. The airway may be removed for cleaning following each use.
5. Allow the simulator and airways to air dry completely before re-assembly or storage.
Figure 31 Figure 32
12
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13
Caution
The simulator is constructed with electronic components. Extreme care
should be used when utilizing fluid capable features of the simulator, so
as to not damage electronics or cause harm to users.
A. NG Tube
The patent left nostril may be used for practice in NG tube insertion
and care. Nasco recommends a 5 FR NG tube. An embedded tube in
the simulator simulates a small stomach reservoir. The reservoir is not
intended to accept fluid.
1. Ensure all appliances used for nasogastric tube insertion are
generously lubricated with the supplied lubricant.
2. Follow general practice guidelines to place the tube.
3. Adhesive tape will not adhere to the material of the face. Use an
alternative method to secure the tube.
4. Clean any excess lubricant following each use.
5. Allow simulator to air dry completely before re-assembly or storage.
B. Intubation
Nasco recommends a standard 3.5 mm ET tube, #1 LMA, and a #1 Miller
blade.
1. Always thoroughly lubricate all equipment before use with the
supplied lubricant.
2. Adhesive tape will not adhere to the material of the face. Use an
alternative method to secure the ET tube.
3. The infant simulator may also be ventilated with a bag valve mask.
4. The airway may be removed for cleaning following each use.
5. Allow the simulator and airways to air dry completely before
re-assembly or storage.
Instructions for Use

14
C. CPR and Defibrillation
The infant simulator comes with
anInteractiveECGSimulator(LF03670AU) with part number LF01420U.
Any Nasco Healthcare Life/form®Interactive ECG Simulator (LF03670AU)
will work with part number LF01421U. The Interactive ECG Simulator
acts as the load box and can accept up to 360 joules of energy.
Compressions can be performed on the defibrillation chest insert or
alternate chest insert sold separately (see section for replacement parts
and available supplies).
1. Follow the setup instructions on pages 6 and 7 to connect the infant
simulator to the Interactive ECG Simulator.
2. Ensure the defibrillation chest insert is connected. (See figure 33.)
3. Use the round defibrillation adapter posts for manual defibrillation.
4. Screw the round defibrillation adapter posts into the defibrillation
chest insert. (See figure 34.)
5. Screw the round defibrillation adapter post into the defibrillation
chest post site on the posterior of the simulator. (See figure 35.)
6. Included with the simulator is a set of chest post adapters 101-054U,
for use with training cables (sold separately). See the section for
supplies and replacement parts for part number information.
7. Press the on-off button on the Interactive ECG Simulator. NSR
(Normal Sinus Rhythm) and adult age group are the default
selections.
8. Press the age group button to select pediatric rhythms. (See figure
36.)
9. Pressing any of the rhythm buttons will select that rhythm.
10.To convert, select the initial rhythm to display.
11.Press the convert button.
Instructions for Use
13
C. CPR and Defibrillation
The infant simulator comes with an Interactive ECG Simulator (LF03670AU) with part number LF01420U. Any
Life/form® Interactive ECG Simulator (LF03670AU) will work with part number LF01421U. The Interactive ECG Simulator
acts as the load box and can accept up to 360 joules of energy. Compressions can be performed on the defibrillation chest
insert or alternate chest insert sold separately (see section for replacement parts and available supplies).
1. Follow the setup instructions on pages 6 and 7 to connect the infant simulator to the Interactive ECG Simulator.
2. Ensure the defibrillation chest insert is connected. (See figure 33.)
3. Use the round defibrillation adapter posts for manual defibrillation.
4. Screw the round defibrillation adapter posts into the defibrillation chest insert. (See figure 34.)
5. Screw the round defibrillation adapter post into the defibrillation chest post site on the posterior of the simulator.
(See figure 35.)
6. Included with the simulator is a set of chest post adapters 101-054U, for use with training cables (sold separately).
See the section for supplies and replacement parts for part number information.
7. Press the on-off button on the Interactive ECG Simulator. NSR (Normal Sinus Rhythm) and adult age group are the
default selections.
8. Press the age group button to select pediatric rhythms. (See figure 36.)
Figure 35 Figure 36
Figure 33
Figure 34
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15
Instructions for Use Instructions for Use
13
C. CPR and Defibrillation
The infant simulator comes with an Interactive ECG Simulator (LF03670AU) with part number LF01420U. Any
Life/form® Interactive ECG Simulator (LF03670AU) will work with part number LF01421U. The Interactive ECG Simulator
acts as the load box and can accept up to 360 joules of energy. Compressions can be performed on the defibrillation chest
insert or alternate chest insert sold separately (see section for replacement parts and available supplies).
1. Follow the setup instructions on pages 6 and 7 to connect the infant simulator to the Interactive ECG Simulator.
2. Ensure the defibrillation chest insert is connected. (See figure 33.)
3. Use the round defibrillation adapter posts for manual defibrillation.
4. Screw the round defibrillation adapter posts into the defibrillation chest insert. (See figure 34.)
5. Screw the round defibrillation adapter post into the defibrillation chest post site on the posterior of the simulator.
(See figure 35.)
6. Included with the simulator is a set of chest post adapters 101-054U, for use with training cables (sold separately).
See the section for supplies and replacement parts for part number information.
7. Press the on-off button on the Interactive ECG Simulator. NSR (Normal Sinus Rhythm) and adult age group are the
default selections.
8. Press the age group button to select pediatric rhythms. (See figure 36.)
Figure 35 Figure 36
Figure 33
Figure 34
HC190001INM26.indd 13 2/19/19 1:55 PM
12.Select the rhythm to display after conversion. This rhythm will be
blinking.
13.Shock the manikin using industry standards for infant defibrillation.
The blinking rhythm will then turn solid on the Interactive ECG
Simulator and will be the rhythm displayed on your defibrillator/
monitor.
Note: 20 joules of energy is enough to convert; do not go over the
industry standard for infant defibrillation.
D. PICC Line
14
9. Pressing any of the rhythm buttons will select that
rhythm.
10. To convert, select the initial rhythm to display.
11. Press the convert button.
12. Select the rhythm to display after conversion. This rhythm will be blinking.
13. Shock the manikin using industry standards for infant defibrillation. The blinking rhythm will then turn solid on the
Interactive ECG Simulator and will be the rhythm displayed on your defibrillator/monitor.
Note: 20 joules of energy is enough to convert; do not go over the industry standard for infant defibrillation.
D. PICC Line
The left arm will accept a 2 FR catheter via the molded access site. It is intended for practice in site care only. (See figure
37.) Do not attempt to infuse fluids.
1. Lubricate the catheter thoroughly with the supplied lubricant before insertion. Use an alternative method to secure.
Most adhesives do not stick well to the infant simulator’s skin.
2. Remove all devices from the infant simulator after each use.
E. Performing IV Injection and Withdrawals
Both the right hand and foot are equipped with functional IV access and infusion practice.
1. Make sure all clamps are closed on the fluid supply bags.
2. Add 1 pint of distilled water only to the pint bottle with blood powder; shake it to mix.
3. Hang one bag (A) and fill with 100-500 cc of prepared blood mixture. Hang no higher than 18" above the surface
of the arm (fluid supply stand shown sold separately, LF01022U).
4. Close the cap tightly and lay the other bag (B) on the same surface as the infant simulator. Make sure that bag (B)
cap is closed tightly.
5. Make sure all connections are secure. Open both clamps and let the blood run through until all the air has been
displaced from the tubing. (See figure 38.)
6. For blood sampling, close the clamp on Bag B, leaving the Bag A clamp open.
Note: Simulate cleansing IV, injection, and withdrawal sites using distilled water. Multiple or prolonged exposure to
harsh antiseptics, such as alcohol or iodine, could damage or stain the simulator. Using any fluids besides distilled
water is not recommended.
7. For injections or infusions, close the Bag A clamp and open the Bag B clamp.
8. The position of the bags may be switched when Bag B is full.
9. Always drain the blood and run clear water through the system at the end of each use.
10. Allow all components to air dry completely after each use and before re-assembly or storage.
Figure 38
Figure 37
HC190001INM26.indd 14 2/19/19 1:55 PM
The left arm will accept a 2 FR
catheter via the molded access site.
It is intended for practice in site care
only. (See figure 37.)
Do not attempt to infuse fluids.
1. Lubricate the catheter thoroughly
with the supplied lubricant before
insertion. Use an alternative
method to secure. Most adhesives
do not stick well to the infant
simulator’s skin.
2. Remove all devices from the
infant simulator after each use.

16
E. Performing IV Injection and Withdrawals
Both the right hand and foot are equipped with functional IV access
and infusion practice.
1. Make sure all clamps are closed on the fluid supply bags.
2. Add 1 pint of distilled water only to the pint bottle with blood powder;
shake it to mix.
3. Hang one bag (A) and fill with 100-500 cc of prepared blood mixture.
Hang no higher than 18” above the surface of the arm (fluid supply
stand shown sold separately, LF01022U).
4. Close the cap tightly and lay the other bag (B) on the same surface
as the infant simulator. Make sure that bag (B) cap is closed tightly.
5. Make sure all connections are secure. Open both clamps and let
the blood run through until all the air has been displaced from the
tubing. (See figure 38.)
6. For blood sampling, close the clamp on Bag B, leaving the Bag A
clamp open.
Note: Simulate cleansing IV, injection, and withdrawal sites using
distilled water. Multiple or prolonged exposure to harsh antiseptics,
such as alcohol or iodine, could damage or stain the simulator. Using
any fluids besides distilled water is not recommended.
7. For injections or infusions, close the Bag A clamp and open the Bag
B clamp.
8. The position of the bags may be switched when Bag B is full.
9. Always drain the blood and run clear water through the system at
the end of each use.
10.Allow all components to air dry completely after each use and
before re-assembly or storage. Pressing any of the rhythm buttons
will select that rhythm.
Instructions for Use
14
9. Pressing any of the rhythm buttons will select that
rhythm.
10. To convert, select the initial rhythm to display.
11. Press the convert button.
12. Select the rhythm to display after conversion. This rhythm will be blinking.
13. Shock the manikin using industry standards for infant defibrillation. The blinking rhythm will then turn solid on the
Interactive ECG Simulator and will be the rhythm displayed on your defibrillator/monitor.
Note: 20 joules of energy is enough to convert; do not go over the industry standard for infant defibrillation.
D. PICC Line
The left arm will accept a 2 FR catheter via the molded access site. It is intended for practice in site care only. (See figure
37.) Do not attempt to infuse fluids.
1. Lubricate the catheter thoroughly with the supplied lubricant before insertion. Use an alternative method to secure.
Most adhesives do not stick well to the infant simulator’s skin.
2. Remove all devices from the infant simulator after each use.
E. Performing IV Injection and Withdrawals
Both the right hand and foot are equipped with functional IV access and infusion practice.
1. Make sure all clamps are closed on the fluid supply bags.
2. Add 1 pint of distilled water only to the pint bottle with blood powder; shake it to mix.
3. Hang one bag (A) and fill with 100-500 cc of prepared blood mixture. Hang no higher than 18" above the surface
of the arm (fluid supply stand shown sold separately, LF01022U).
4. Close the cap tightly and lay the other bag (B) on the same surface as the infant simulator. Make sure that bag (B)
cap is closed tightly.
5. Make sure all connections are secure. Open both clamps and let the blood run through until all the air has been
displaced from the tubing. (See figure 38.)
6. For blood sampling, close the clamp on Bag B, leaving the Bag A clamp open.
Note: Simulate cleansing IV, injection, and withdrawal sites using distilled water. Multiple or prolonged exposure to
harsh antiseptics, such as alcohol or iodine, could damage or stain the simulator. Using any fluids besides distilled
water is not recommended.
7. For injections or infusions, close the Bag A clamp and open the Bag B clamp.
8. The position of the bags may be switched when Bag B is full.
9. Always drain the blood and run clear water through the system at the end of each use.
10. Allow all components to air dry completely after each use and before re-assembly or storage.
Figure 38
Figure 37
HC190001INM26.indd 14 2/19/19 1:55 PM

Instructions for Use
17
Instructions for Use
F. Performing IV Infusions
1. Procure a 3rd IV bag (sold separately, LF01130).
2. Begin with a fully pressurized system.
3. Insert the IV needle or butterfly into a vein. Flashback will indicate a
proper insertion.
4. Attach the needle or butterfly to the tubing from the infusion
solution or fluid supply Bag C using the small latex piece. (See figure
39.)
5. Open the clamp on fluid supply Bag B.
6. Open the clamp from the infusion solution.
7. Proof of proper procedure will be evidenced by the flow of fluid from
the infusion solution or fluid supply Bag C.
Note: Simulate cleansing IV, injection, and withdrawal sites using
distilled water. Multiple or prolonged exposure to harsh antiseptics
such as alcohol or iodine could damage or stain the simulator.
Performing infusions can dilute your simulated blood solution;
ensure Bag B is mostly empty before infusing.
8. Always drain the blood and run clear water through the system at
the end of each use.
9. Allow all components to air dry completely after each use and before
re-assembly or storage.
G. Chest Tube
A chest tube may be inserted into the site in the left mid-axial line. This
is a nonfunctioning site that may be used for practice in chest tube
care. (See figure 40.)
Figure 41
F. Performing IV Infusions
1. Procure a 3rd IV bag (sold separately, LF01130U).
2. Begin with a fully pressurized system.
3. Insert the IV needle or butterfly into a vein. Flashback will indicate a proper insertion.
4. Attach the needle or butterfly to the tubing from the infusion solution or fluid supply Bag C using the small latex piece.
(See figure 39.)
5. Open the clamp on fluid supply Bag B.
6. Open the clamp from the infusion solution.
7. Proof of proper procedure will be evidenced by the flow of fluid from the infusion solution or fluid supply Bag C.
Note: Simulate cleansing IV, injection, and withdrawal sites using distilled water. Multiple or prolonged exposure to
harsh antiseptics such as alcohol or iodine could damage or stain the simulator. Performing infusions can dilute your
simulated blood solution; ensure Bag B is mostly empty before infusing.
8. Always drain the blood and run clear water through the system at the end of each use.
9. Allow all components to air dry completely after each use and before re-assembly or storage.
G. Chest Tube
A chest tube may be inserted into the site in the left mid-axial line. This is a nonfunctioning site that may be used for prac-
tice in chest tube care. (See figure 40.)
1. Apply a small amount of the provided lubricant to chest tube appliances.
2. Use an alternative method to secure. Most adhesives do not stick well to the infant simulator’s skin.
3. Remove all devices from the infant simulator after each use.
4. Ensure the infant simulator and chest tube site are clean and dry after each use.
H. Umbilicus
The umbilicus may be catheterized through the vein or the artery. Always lubricate catheters before insertion.
1. To take blood samples, pull out the umbilicus, using caution to not disconnect the pulse system tubing.
2. Fill the reservoir with approximately 2-4 cc of blood mixture, and replace umbilicus. (See figures 41 and 42.)
3. To infuse fluids, leave the reservoir empty. (See figure 43.)
Figure 43
Figure 42
Figure 40
15
Figure 39
HC190001INM26.indd 15 2/19/19 1:55 PM

18
Instructions for Use
Figure 41
F. Performing IV Infusions
1. Procure a 3rd IV bag (sold separately, LF01130U).
2. Begin with a fully pressurized system.
3. Insert the IV needle or butterfly into a vein. Flashback will indicate a proper insertion.
4. Attach the needle or butterfly to the tubing from the infusion solution or fluid supply Bag C using the small latex piece.
(See figure 39.)
5. Open the clamp on fluid supply Bag B.
6. Open the clamp from the infusion solution.
7. Proof of proper procedure will be evidenced by the flow of fluid from the infusion solution or fluid supply Bag C.
Note: Simulate cleansing IV, injection, and withdrawal sites using distilled water. Multiple or prolonged exposure to
harsh antiseptics such as alcohol or iodine could damage or stain the simulator. Performing infusions can dilute your
simulated blood solution; ensure Bag B is mostly empty before infusing.
8. Always drain the blood and run clear water through the system at the end of each use.
9. Allow all components to air dry completely after each use and before re-assembly or storage.
G. Chest Tube
A chest tube may be inserted into the site in the left mid-axial line. This is a nonfunctioning site that may be used for prac-
tice in chest tube care. (See figure 40.)
1. Apply a small amount of the provided lubricant to chest tube appliances.
2. Use an alternative method to secure. Most adhesives do not stick well to the infant simulator’s skin.
3. Remove all devices from the infant simulator after each use.
4. Ensure the infant simulator and chest tube site are clean and dry after each use.
H. Umbilicus
The umbilicus may be catheterized through the vein or the artery. Always lubricate catheters before insertion.
1. To take blood samples, pull out the umbilicus, using caution to not disconnect the pulse system tubing.
2. Fill the reservoir with approximately 2-4 cc of blood mixture, and replace umbilicus. (See figures 41 and 42.)
3. To infuse fluids, leave the reservoir empty. (See figure 43.)
Figure 43
Figure 42
Figure 40
15
Figure 39
HC190001INM26.indd 15 2/19/19 1:55 PM
1. Apply a small amount of the provided lubricant to chest tube
appliances.
2. Use an alternative method to secure. Most adhesives do not stick
well to the infant simulator’s skin.
3. Remove all devices from the infant simulator after each use.
4. Ensure the infant simulator and chest tube site are clean and dry
after each use.
H. Umbilicus
The umbilicus may be catheterized through the vein or the artery.
Always lubricate catheters before insertion.
1. To take blood samples, pull out the umbilicus, using caution to not
disconnect the pulse system tubing.
2. Fill the reservoir with approximately 2-4 cc of blood mixture, and
replace umbilicus. (See figures 41 and 42.)
3. To infuse fluids, leave the reservoir empty. (See figure 43.)
4. Maximum capacity is approximately 5 cc.
5. After each use, remove the umbilicus, using caution to not
disconnect the pulse system tubing, and empty the reservoir with
the syringe.
6. Wipe out remaining fluid with a paper towel.
7. Leave open to air dry.
Figure 41
F. Performing IV Infusions
1. Procure a 3rd IV bag (sold separately, LF01130U).
2. Begin with a fully pressurized system.
3. Insert the IV needle or butterfly into a vein. Flashback will indicate a proper insertion.
4. Attach the needle or butterfly to the tubing from the infusion solution or fluid supply Bag C using the small latex piece.
(See figure 39.)
5. Open the clamp on fluid supply Bag B.
6. Open the clamp from the infusion solution.
7. Proof of proper procedure will be evidenced by the flow of fluid from the infusion solution or fluid supply Bag C.
Note: Simulate cleansing IV, injection, and withdrawal sites using distilled water. Multiple or prolonged exposure to
harsh antiseptics such as alcohol or iodine could damage or stain the simulator. Performing infusions can dilute your
simulated blood solution; ensure Bag B is mostly empty before infusing.
8. Always drain the blood and run clear water through the system at the end of each use.
9. Allow all components to air dry completely after each use and before re-assembly or storage.
G. Chest Tube
A chest tube may be inserted into the site in the left mid-axial line. This is a nonfunctioning site that may be used for prac-
tice in chest tube care. (See figure 40.)
1. Apply a small amount of the provided lubricant to chest tube appliances.
2. Use an alternative method to secure. Most adhesives do not stick well to the infant simulator’s skin.
3. Remove all devices from the infant simulator after each use.
4. Ensure the infant simulator and chest tube site are clean and dry after each use.
H. Umbilicus
The umbilicus may be catheterized through the vein or the artery. Always lubricate catheters before insertion.
1. To take blood samples, pull out the umbilicus, using caution to not disconnect the pulse system tubing.
2. Fill the reservoir with approximately 2-4 cc of blood mixture, and replace umbilicus. (See figures 41 and 42.)
3. To infuse fluids, leave the reservoir empty. (See figure 43.)
Figure 43
Figure 42
Figure 40
15
Figure 39
HC190001INM26.indd 15 2/19/19 1:55 PM
Figure 41
F. Performing IV Infusions
1. Procure a 3rd IV bag (sold separately, LF01130U).
2. Begin with a fully pressurized system.
3. Insert the IV needle or butterfly into a vein. Flashback will indicate a proper insertion.
4. Attach the needle or butterfly to the tubing from the infusion solution or fluid supply Bag C using the small latex piece.
(See figure 39.)
5. Open the clamp on fluid supply Bag B.
6. Open the clamp from the infusion solution.
7. Proof of proper procedure will be evidenced by the flow of fluid from the infusion solution or fluid supply Bag C.
Note: Simulate cleansing IV, injection, and withdrawal sites using distilled water. Multiple or prolonged exposure to
harsh antiseptics such as alcohol or iodine could damage or stain the simulator. Performing infusions can dilute your
simulated blood solution; ensure Bag B is mostly empty before infusing.
8. Always drain the blood and run clear water through the system at the end of each use.
9. Allow all components to air dry completely after each use and before re-assembly or storage.
G. Chest Tube
A chest tube may be inserted into the site in the left mid-axial line. This is a nonfunctioning site that may be used for prac-
tice in chest tube care. (See figure 40.)
1. Apply a small amount of the provided lubricant to chest tube appliances.
2. Use an alternative method to secure. Most adhesives do not stick well to the infant simulator’s skin.
3. Remove all devices from the infant simulator after each use.
4. Ensure the infant simulator and chest tube site are clean and dry after each use.
H. Umbilicus
The umbilicus may be catheterized through the vein or the artery. Always lubricate catheters before insertion.
1. To take blood samples, pull out the umbilicus, using caution to not disconnect the pulse system tubing.
2. Fill the reservoir with approximately 2-4 cc of blood mixture, and replace umbilicus. (See figures 41 and 42.)
3. To infuse fluids, leave the reservoir empty. (See figure 43.)
Figure 43
Figure 42
Figure 40
15
Figure 39
HC190001INM26.indd 15 2/19/19 1:55 PM

Instructions for Use
19
Instructions for Use
4. Maximum capacity is approximately 5 cc.
5. After each use, remove the umbilicus, using caution to
not disconnect the pulse system tubing, and empty the
reservoir with the syringe.
6. Wipe out remaining fluid with a paper towel.
7. Leave open to air dry.
I. Catheterization
The interchangeable genital inserts are for catheter
placement practice and not designed to deliver fluids.
(See figures 44 and 45.)
1. Select either male or female genital insert.
2. Fit into the body of the manikin; apply baby powder to
the back side of the genital insert for ease in insertion to
the infant simulator.
3. Either genital insert will accept a 5 FR straight urinary catheter.
4. Always lubricate the catheter before use.
5. Genital inserts are not designed to deliver fluids.
6. Remove all appliances after each use.
7. Ensure the infant simulator and genital inserts are clean and completely dry after each use and before re-assembly or
storage.
J. Administering Rectum Medications, Performing a Temperature
The anal opening may be used for the administration of rectal medications in suppository form or performing a simulated
rectal temperature. Do not attempt to infuse fluids.
1. Always lubricate anything that will be inserted into the rectum with the supplied lubricant.
2. Remove administered medications or appliances after each use
3. Ensure the rectum is clean and completely dry after each use and before re-assembly or storage.
K. IO Leg
The left leg incorporates an intraosseous infusion feature.
1. Install a new, pre-filled bone.
2. Ensure the bone is properly placed within the infant simulator. (See figure 46.)
3. Replace the foot skin.
4. Any commercially available intraosseous device may be used to place the needle. The bone is prefilled with simulated
blood and can provide flashback when the needle is properly inserted.
5. Palpable landmarks include the patella and the tibial tuberosity.
16
Figure 46
Figure 44 Figure 45
HC190001INM26.indd 16 2/19/19 1:55 PM
I. Catheterization
The interchangeable genital inserts are for catheter placement practice
and not designed to deliver fluids. (See figures 44 and 45.)
1. Select either male or female genital insert.
2. Fit into the body of the manikin; apply baby powder to the back side
of the genital insert for ease in insertion to the infant simulator.
3. Either genital insert will accept a 5 FR straight urinary catheter.
4. Always lubricate the catheter before use.
5. Genital inserts are not designed to deliver fluids.
6. Remove all appliances after each use.
7. Ensure the infant simulator and genital inserts are clean and
completely dry after each use and before re-assembly or storage.
J. Administering Rectum Medications, Performing a Temperature
The anal opening may be used for the administration of rectal
medications in suppository form or performing a simulated rectal
temperature. Do not attempt to infuse fluids.
1. Always lubricate anything that will be inserted into the rectum with
the supplied lubricant.
2. Remove administered medications or appliances after each use
3. Ensure the rectum is clean and completely dry after each use and
before re-assembly or storage.

20
Instructions for Use
K. IO Leg
The left leg incorporates an intraosseous infusion feature.
1. Install a new, pre-filled bone.
2. Ensure the bone is properly placed within the infant simulator. (See
figure 46.)
3. Replace the foot skin.
4. Any commercially available
intraosseous device may be
used to place the needle.
The bone is prefilled with
simulated blood and can
provide flashback when the
needle is properly inserted.
5. Palpable landmarks include
the patella and the tibial
tuberosity.
4. Maximum capacity is approximately 5 cc.
5. After each use, remove the umbilicus, using caution to
not disconnect the pulse system tubing, and empty the
reservoir with the syringe.
6. Wipe out remaining fluid with a paper towel.
7. Leave open to air dry.
I. Catheterization
The interchangeable genital inserts are for catheter
placement practice and not designed to deliver fluids.
(See figures 44 and 45.)
1. Select either male or female genital insert.
2. Fit into the body of the manikin; apply baby powder to
the back side of the genital insert for ease in insertion to
the infant simulator.
3. Either genital insert will accept a 5 FR straight urinary catheter.
4. Always lubricate the catheter before use.
5. Genital inserts are not designed to deliver fluids.
6. Remove all appliances after each use.
7. Ensure the infant simulator and genital inserts are clean and completely dry after each use and before re-assembly or
storage.
J. Administering Rectum Medications, Performing a Temperature
The anal opening may be used for the administration of rectal medications in suppository form or performing a simulated
rectal temperature. Do not attempt to infuse fluids.
1. Always lubricate anything that will be inserted into the rectum with the supplied lubricant.
2. Remove administered medications or appliances after each use
3. Ensure the rectum is clean and completely dry after each use and before re-assembly or storage.
K. IO Leg
The left leg incorporates an intraosseous infusion feature.
1. Install a new, pre-filled bone.
2. Ensure the bone is properly placed within the infant simulator. (See figure 46.)
3. Replace the foot skin.
4. Any commercially available intraosseous device may be used to place the needle. The bone is prefilled with simulated
blood and can provide flashback when the needle is properly inserted.
5. Palpable landmarks include the patella and the tibial tuberosity.
16
Figure 46
Figure 44 Figure 45
HC190001INM26.indd 16 2/19/19 1:55 PM
6. A small amount of the supplied lubricant on the surface of the skin
will prevent devices from grabbing during the procedure. Skin
surfaces can become tacky with handling.
7. Bones can be punctured multiple times. Flashback may not be
visible with multiple or initial punctures.
8. Ensure all devices are removed following each procedure.
9. Remove and discard used bones.
10. Ensure the infant simulator is clean and dry after each use.
11. Remove leg skin to ensure the leg is clean and dry after each use.
12. Allow to air dry completely.
L. Pulses
C.H.A.R.L.I.E. features seven
functioning pulse sites: right and
left femoral, right and left brachial
(See figure 26), right and left
carotid (See figure 27), and the
umbilical stump. (See figure 28)
1. Gently pump the inflation
bulb to activate the pulses as
desired.
6. A small amount of the supplied lubricant on the
surface of the skin will prevent devices from grab-
bing during the procedure. Skin surfaces can
become tacky with handling.
7. Bones can be punctured multiple times. Flashback
may not be visible with multiple or initial punctures.
8. Ensure all devices are removed following each
procedure.
9. Remove and discard used bones.
10. Ensure the infant simulator is clean and dry after
each use.
11. Remove leg skin to ensure the leg is clean and dry
after each use.
12. Allow to air dry completely.
L. Pulses
C.H.A.R.L.I.E. features seven functioning pulse sites: right and left femoral, right and left brachial, right and left carotid,
and the umbilical stump. (See figures 47, 48, 49.)
1. Gently pump the inflation bulb to activate the pulses as desired.
Note: A disconnect anywhere in the tubing will cause a loss of air pressure, resulting in failure of the entire pulse sys-
tem. If none of the pulses are working, check the connection in the umbilical cavity to make sure the fitting is securely
attached.
TROUBLESHOOTING
1. Accidentally disconnecting or kinking the pulse system tubing in the umbilical stump when filling or cleaning the
abdominal reservoir, or when reinstalling the umbilical stump, will cause failure of the entire pulse system.
2. The omphalocele defect fits directly over the umbilical stump; there is no need to remove the stump.
3. Be aware that most adhesives do not stick well to the infant simulator’s skin; use an alternative method to secure
devices.
4. With handling, the skin of the simulator and skin components will become tacky. A dusting of baby powder will give a
more lifelike quality to the skin.
17
Figure 47
Figure 48
Figure 49
HC190001INM26.indd 17 2/19/19 1:55 PM